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AP2 <br />wNo('Z� <br />FIXED <br />o_c <br />❑ DEPOSITS <br />SERVICE (BY ADDRna,_ <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER <br />OR AS SAME MAY <br />DEPARTMENT NOW EXISTING <br />BE HEREAFTER CHANGED. <br />SIGNED: <br />_MATERIALS jL IN. <br />PIPE _ <br />_ OPPER -• GALV. - STEEL <br />CORPORATION <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC •- C 1 I <br />METER VALVE <br />— <br />METER No. <br />TYPE: <br />I --' — <br />M <br />METER BOX <br />CeNceera ...... <br />— <br />DATE INSTALLED: ) ON <br />— Z 7--7 9I 1 OFF <br />COS DE LABOR ANO EOUIPMEN! RENTAL <br />REMARKS; <br />SERVICE <br />ORDER N � <br />DATE <br />W. O. <br />r- <br />PRICE <br />SUB TOTAL <br />NOOR9 I RATE <br />TOTAL <br />